NPI | 1205870441 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MI 4301075858) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301075858) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2020-12-29 |