NPI | 1548322217 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G56829) |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA G56829) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA G56829) | |
Enumeration Date | 2006-12-15 |
Last Update Date | 2008-03-03 |