NPI | 1609464809 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD479348) |
Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY FT619) |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: PA MD479348) | |
Enumeration Date | 2021-01-04 |
Last Update Date | 2024-05-03 |