NPI | 1053604108 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A156227) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT199731) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT199731) | |
Enumeration Date | 2011-05-24 |
Last Update Date | 2025-02-28 |