| NPI | 1003922626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NY 199620) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G85116) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA G85116) | |
| 207X00000X Orthopaedic Surgery (Licence: NY 199620) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2014-11-13 |