| NPI | 1780611426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA 20A9718) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 20A9718) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CO 43894) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2019-08-29 |