| NPI | 1619275203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA 20A15694) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 20A15694) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MI 5101020846) | |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2022-03-25 |