| NPI | 1972899433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A143120) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA L-247771) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: GA 74774) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2020-03-17 |