NPI | 1619389624 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ 25MA10845800) |
Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 297279) |
207X00000X Orthopaedic Surgery (Licence: PA MD469853) | |
Enumeration Date | 2014-05-25 |
Last Update Date | 2023-11-20 |