NPI | 1093994469 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA e1847955) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA a108059) |
Enumeration Date | 2007-11-01 |
Last Update Date | 2013-05-02 |