NPI | 1548498454 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY 43786) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 238499) |
207X00000X Orthopaedic Surgery (Licence: CA C145666) | |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY TP298) | |
Enumeration Date | 2009-06-30 |
Last Update Date | 2023-05-22 |