NPI | 1003817602 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AZ 33741) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 33741) |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AZ 33741) | |
Enumeration Date | 2005-08-03 |
Last Update Date | 2012-06-21 |