NPI | 1922461508 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MT 126113) |
Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OR MD210313) |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MA 268542) | |
Enumeration Date | 2016-04-01 |
Last Update Date | 2023-10-30 |