NPI | 1427283878 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A96179) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A96170) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-05-28 |
Last Update Date | 2024-07-10 |