NPI | 1801990270 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A67707) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A67707) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2013-06-25 |