NPI | 1063523017 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 150901) |
Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ 25MA06049900) |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CT 47119) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-12-30 |