NPI | 1952693749 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: MN 60425) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 60425) |
207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: WI 73974-20) | |
207X00000X Orthopaedic Surgery (Licence: WI 73974-20) | |
Enumeration Date | 2011-05-11 |
Last Update Date | 2024-09-18 |