| NPI | 1861719585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 289275-1) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A136413) |
| 207X00000X Orthopaedic Surgery (Licence: CA 136413) | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2025-11-20 |