| NPI | 1619197621 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MA 253247) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 253247) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2014-05-21 |