| NPI | 1700176021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME172362) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01079279A) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A144006) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2025-06-12 |