| NPI | 1568667731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA C191501) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 233765) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2023-12-05 |