NPI | 1801002134 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A120186) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A120186) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2020-07-15 |