NPI | 1558652727 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MI 4301111317) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX Q8697) |
Enumeration Date | 2011-04-22 |
Last Update Date | 2018-01-09 |