NPI | 1053871814 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A181502) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA na) |
Enumeration Date | 2019-03-20 |
Last Update Date | 2024-08-05 |