NPI | 1720003619 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: CA A77961) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A77961) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2023-10-17 |