NPI | 1881727139 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: SC 29038) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2011-00736) |
207X00000X Orthopaedic Surgery (Licence: SC LL 29038) | |
Enumeration Date | 2007-03-14 |
Last Update Date | 2022-07-20 |