NPI | 1003377755 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX T2424) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX T2424) |
207X00000X Orthopaedic Surgery (Licence: NY 328251) | |
Enumeration Date | 2019-03-26 |
Last Update Date | 2025-06-06 |