NPI | 1528266178 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A118205) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 229626) |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: PA MD434454) | |
Enumeration Date | 2007-07-05 |
Last Update Date | 2021-12-14 |