NPI | 1295276624 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NV 25494) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 25494) |
Enumeration Date | 2017-03-18 |
Last Update Date | 2024-08-19 |