| NPI | 1932142932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MD D0063465) |
| Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: MD D0063465) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: MD D0063465) | |
| 207P00000X Emergency Medicine (Licence: MD D0063465) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MD D0063465) | |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: MD D0063465) | |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MD D0063465) | |
| 207X00000X Orthopaedic Surgery (Licence: MD D0063465) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD D0063465) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MD D0063465) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MD D0063465) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MD D0063465) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MD D0063465) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2023-04-17 |