NPI | 1376986232 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A132110) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 80314) |
207X00000X Orthopaedic Surgery (Licence: CA A132110) | |
Enumeration Date | 2013-04-10 |
Last Update Date | 2024-04-28 |