NPI | 1154351625 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA G24923) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G24923) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2009-08-20 |