NPI | 1568664134 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MA 242354) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101016538) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2014-07-07 |