NPI | 1952411423 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G86197) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA G86197) |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA G86197) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2012-04-10 |