| NPI | 1609803287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A68720) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA A68720) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA A68720) | |
| 207T00000X Neurological Surgery (Licence: CA A68720) | |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CA A68720) | |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: CA A68720) | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: CA A68720) | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: CA A68720) | |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CA A68720) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: CA A68720) | |
| 208200000X Plastic Surgery (Licence: CA A68720) | |
| 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck (Licence: CA A68720) | |
| 2082S0105X Plastic Surgery Surgery of the Hand (Licence: CA A68720) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: CA A68720) | |
| 2086S0127X Surgery Trauma Surgery (Licence: CA A68720) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-09-05 |