NPI | 1568415057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 200000268) |
Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: NC 200000268) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2023-04-10 |