NPI | 1356356745 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX H7292) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX H7292) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2025-04-22 |