| NPI | 1871159848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A195409) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 279950) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2024-08-08 |