NPI | 1639174949 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 143645-0) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 143645) |
Enumeration Date | 2005-06-15 |
Last Update Date | 2008-02-25 |