| NPI | 1437130655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA C142801) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME112470) |
| 208M00000X Hospitalist (Licence: CA C142801) | |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2024-05-10 |