NPI | 1740239003 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: LA 15562R) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA 15562R) |
Enumeration Date | 2006-05-06 |
Last Update Date | 2024-04-17 |