| NPI | 1992297766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A183722) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301114526) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA 183722) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2023-08-01 |