NPI | 1750873675 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 325372) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301115136) |
Enumeration Date | 2018-06-06 |
Last Update Date | 2024-11-08 |