NPI | 1013987056 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA 18336) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 16929) |
207XS0106X Orthopaedic Surgery Hand Surgery (Licence: IA 18336) | |
207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: IA 18336) | |
207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: IA 18336) | |
207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: IA 18336) | |
Enumeration Date | 2006-01-24 |
Last Update Date | 2007-07-08 |