NPI | 1124015235 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA G83859) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G83859) |
Enumeration Date | 2005-10-04 |
Last Update Date | 2015-09-24 |