NPI | 1437509643 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: PA MD469062) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT210758) |
Enumeration Date | 2016-06-18 |
Last Update Date | 2023-01-20 |