NPI | 1134743511 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 324438) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 5765F) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-06-02 |
Last Update Date | 2023-09-26 |