NPI | 1689654345 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX P1302) |
Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY 42090) |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TN 45264) | |
Enumeration Date | 2006-01-19 |
Last Update Date | 2017-01-09 |