| NPI | 1629235791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A112761) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A112761) |
| 207T00000X Neurological Surgery (Licence: CA A112761) | |
| Enumeration Date | 2008-05-17 |
| Last Update Date | 2026-08-06 |