NPI | 1972565877 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA G54671) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A52768) |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA G54671) | |
Enumeration Date | 2006-04-05 |
Last Update Date | 2010-07-02 |