NPI | 1255726444 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX T1538) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL TRN21451) |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IL 035.151828) | |
Enumeration Date | 2015-04-03 |
Last Update Date | 2021-07-24 |