NPI | 1326603473 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NV DO3906) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DO3906) |
Enumeration Date | 2019-05-03 |
Last Update Date | 2025-07-23 |