NPI | 1053311134 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: SC 21820) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 21820) |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NC 200200662) | |
Enumeration Date | 2005-07-29 |
Last Update Date | 2021-02-01 |