| NPI | 1225476500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: CA A168885) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D87120) |
| 207X00000X Orthopaedic Surgery (Licence: CA A168885) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2020-09-11 |