Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 86696 | ZZ |
NPI | 1033541214 |
---|---|
Provider Name | Dr. David N Wasserstein |
First Address | Toronto, ONTARIO M4N3M5 |
Second Address | Toronto, ONTARIO M4N3M5 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2013 |
Last Update Date | 01/04/2015 |