NPI | 1467611608 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL 172242) |
Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 280176-) |
207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NY 280176) | |
Enumeration Date | 2008-06-03 |
Last Update Date | 2025-09-18 |