NPI | 1124415195 |
---|---|
Former Name | RICHARD ABDUL-SAMAD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX T6707) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX T6707) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-17 |
Last Update Date | 2022-12-07 |