NPI | 1811926975 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA g49306) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA g49306) |
207X00000X Orthopaedic Surgery (Licence: CA G49306) | |
Enumeration Date | 2006-07-01 |
Last Update Date | 2009-08-21 |