NPI | 1144756552 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: VA 0101277796) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101277796) |
Enumeration Date | 2017-05-04 |
Last Update Date | 2024-02-16 |