NPI | 1598758880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV 13268) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 26379) |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AZ 26379) | |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NV 13268) | |
Enumeration Date | 2005-08-23 |
Last Update Date | 2020-09-28 |