| NPI | 1326206459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: CA A111590) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 062501) |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: GA 062501) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2023-04-05 |