NPI | 1275894214 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A149350) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD60876991) |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WA MD60876991) | |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OR MD192346) | |
Enumeration Date | 2012-06-06 |
Last Update Date | 2023-01-04 |