| NPI | 1215133129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MN 53014) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A99345) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2011-12-01 |