| NPI | 1467983874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OH 35.148246) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A178095) |
| 207X00000X Orthopaedic Surgery (Licence: OH 57.029674) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2023-08-10 |