NPI | 1609816479 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 211398) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 211398-1) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2015-01-13 |