NPI | 1104892991 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: LA MD.021003) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA MD.021003) |
Enumeration Date | 2006-02-23 |
Last Update Date | 2013-04-05 |