NPI | 1316948060 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: AZ 29897) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 29897) |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: AZ 29897) | |
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: AZ 29897) | |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AZ 29897) | |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AZ 29897) | |
Enumeration Date | 2005-08-03 |
Last Update Date | 2014-02-10 |