| NPI | 1558304667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: MD D0055358) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0055358) |
| 207PE0004X Emergency Medicine Emergency Medical Services (Licence: MD D0055358) | |
| 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine (Licence: MD D0055358) | |
| 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: MD D0055358) | |
| 207PS0010X Emergency Medicine Sports Medicine (Licence: MD D0055358) | |
| 207PT0002X Emergency Medicine Medical Toxicology (Licence: MD D0055358) | |
| 207X00000X Orthopaedic Surgery (Licence: MD D0055358) | |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MD D0055358) | |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: MD D0055358) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: MD D0055358) | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: MD D0055358) | |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: MD D0055358) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-03-19 |