NPI | 1366481764 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MO 2003011625) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2003011625) |
Enumeration Date | 2006-06-04 |
Last Update Date | 2018-07-01 |