| NPI | 1598760720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX L7160) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA C53645) |
| 207X00000X Orthopaedic Surgery (Licence: TX L7160) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2020-10-14 |