| NPI | 1518319136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX U9269) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA MD61401843) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WA MD61401843) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX U9269) | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2025-02-13 |