NPI | 1578613998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WA MD00040590) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD00040590) |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: WA MD00040590) | |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WA MD00040590) | |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WA MD00040590) | |
207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: WA MD00040590) | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2011-12-21 |