| NPI | 1447818273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX V7990) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA 192867) |
| 207X00000X Orthopaedic Surgery (Licence: TX V7990) | |
| 207X00000X Orthopaedic Surgery (Licence: CA A192867) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2025-09-11 |