NPI | 1205090289 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A103754) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A103754) |
Enumeration Date | 2008-07-18 |
Last Update Date | 2023-03-07 |