NPI | 1043273618 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 25585) |
Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY 25585) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2021-01-21 |