| NPI | 1447236435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: MD D0069182) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A103855) |
| 207X00000X Orthopaedic Surgery (Licence: MD D0069182) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2009-09-28 |