| NPI | 1730405440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: CA A144225) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A144225) |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: KY 47717) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2025-08-07 |