NPI | 1053382440 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ 25MA07750800) |
Additional Taxonomies | 174400000X Specialist (Licence: NJ MA07750800) |
Enumeration Date | 2006-02-01 |
Last Update Date | 2024-07-18 |