NPI | 1003260985 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MO 2021014934) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 8211) |
207X00000X Orthopaedic Surgery (Licence: MO 2021014934) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-18 |
Last Update Date | 2022-11-22 |