NPI | 1255569968 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD61265817) |
Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A135513) |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WA MD61265817) | |
Enumeration Date | 2009-07-01 |
Last Update Date | 2022-06-16 |