| NPI | 1417923863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A95705) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD425770) |
| 207X00000X Orthopaedic Surgery (Licence: CA A95705) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-07-17 |