NPI | 1770816134 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD453523) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125055851) |
207X00000X Orthopaedic Surgery (Licence: NJ 25MA09625300) | |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: PA MD453523) | |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ 25MA09625300) | |
Enumeration Date | 2009-09-16 |
Last Update Date | 2022-02-28 |