| NPI | 1871088989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A160822) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 313591) |
| 207X00000X Orthopaedic Surgery (Licence: CA A160822) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 313591) | |
| Enumeration Date | 2018-06-30 |
| Last Update Date | 2023-07-13 |