NPI | 1952663262 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IN 01080215A) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125061496) |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: PA MD460158) | |
Enumeration Date | 2012-06-12 |
Last Update Date | 2022-07-21 |