NPI | 1053015396 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 64855) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 64856) |
Enumeration Date | 2023-03-29 |
Last Update Date | 2023-03-29 |