NPI | 1568563450 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VT 42-0008602) |
Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: VT 42-0008602) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2007-07-08 |