Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A123463 | CA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | A123463 | CA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A123463 | CA |
NPI | 1356462824 |
---|---|
Provider Name | Dr. Brian M. Haus |
First Address | Sacramento, CA 95817-2307 |
Second Address | Sacramento, CA 95817-2307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 03/10/2019 |