NPI | 1982661492 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: SC 18085) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 18085) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2021-02-19 |