| NPI | 1881806834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AZ 45261) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A83999) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2022-05-04 |