NPI | 1013912617 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OK 21124) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OK 21124) |
Enumeration Date | 2005-06-20 |
Last Update Date | 2023-08-15 |