| NPI | 1518348085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A147008) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A147008) |
| 207X00000X Orthopaedic Surgery (Licence: MA 282930) | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2023-10-03 |