NPI | 1053561449 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MI 4301105117) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 57.014767) |
Enumeration Date | 2008-09-23 |
Last Update Date | 2021-07-08 |