| NPI | 1497886014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA G69079) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA G69079) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-12-28 |