NPI | 1548278468 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A042745) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A042745) |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A042745) | |
Enumeration Date | 2006-08-04 |
Last Update Date | 2015-05-06 |