NPI | 1952564536 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: NM MD2021-0255) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA L-236888) |
207X00000X Orthopaedic Surgery (Licence: NY P74826) | |
207X00000X Orthopaedic Surgery (Licence: SC 33462) | |
207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: SC 33462) | |
Enumeration Date | 2008-07-03 |
Last Update Date | 2024-09-25 |