NPI | 1710947783 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX K6449) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX K6449) |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX K6449) | |
208100000X Physical Medicine & Rehabilitation (Licence: TX K6449) | |
Enumeration Date | 2006-03-24 |
Last Update Date | 2018-03-17 |