NPI | 1588691174 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CA G80755) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G80755) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2015-02-25 |