NPI | 1053622977 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 49175) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207X00000X Orthopaedic Surgery (Licence: MN 54073) | |
Enumeration Date | 2010-06-25 |
Last Update Date | 2016-08-29 |