NPI | 1609877596 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: AZ 23459) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 23459) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2013-05-24 |