NPI | 1447284682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G49444) |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA G49444) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA G49444) | |
Enumeration Date | 2006-07-11 |
Last Update Date | 2011-11-01 |