NPI | 1770521551 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AL 20900) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 20900) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AL 20900) | |
Enumeration Date | 2006-06-03 |
Last Update Date | 2024-05-07 |