NPI | 1104183888 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: OR MD175458) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 10352893-1205) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-18 |
Last Update Date | 2024-08-27 |