| NPI | 1962548016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA a114325) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WY 11071A) |
| 207X00000X Orthopaedic Surgery (Licence: PA MD432120) | |
| 207X00000X Orthopaedic Surgery (Licence: IN 01053569A) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-09-22 |