| NPI | 1730168410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 158556) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 1585561) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2022-10-24 |