NPI | 1578586269 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WY 8186A) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 40941) |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TN 40941) | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2025-06-24 |