| NPI | 1649292673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA G68712) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2014-03-07 |