NPI | 1033385679 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: GA 65709) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 065709) |
Enumeration Date | 2008-05-04 |
Last Update Date | 2021-03-30 |