NPI | 1528173697 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AR E5957) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AR E5957) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2021-07-12 |