NPI | 1598795130 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CA G76486) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G76486) |
207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: CA G76486) | |
Enumeration Date | 2006-07-03 |
Last Update Date | 2015-11-10 |