NPI | 1386650802 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A108880) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A108880) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2024-03-12 |