NPI | 1215964994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA G47926) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA G47926) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2007-07-08 |