| NPI | 1689738783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ID M-17340) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A100400) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A100400) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2023-07-31 |