NPI | 1114184389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD439972) |
Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ 25MA09124800) |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: PA MD439972) | |
Enumeration Date | 2008-05-16 |
Last Update Date | 2025-09-30 |