| NPI | 1336535111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A167518) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 66267) |
| 207X00000X Orthopaedic Surgery (Licence: IA MD-48525) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A167518) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2026-02-23 |