NPI | 1558586834 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A52449) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A52449) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2007-07-08 |