| NPI | 1801946496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G 32316) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA G32316) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: HI 16173) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2019-05-06 |