NPI | 1245201938 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA C29184) |
Additional Taxonomies | 174400000X Specialist (Licence: CA C29184) |
Enumeration Date | 2006-01-30 |
Last Update Date | 2021-08-27 |