NPI | 1013228261 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MO 2016018223) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2016018223) |
Enumeration Date | 2010-06-22 |
Last Update Date | 2018-04-02 |