NPI | 1033564687 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL MD.44785) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A172301) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-02 |
Last Update Date | 2022-07-29 |