NPI | 1154853356 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301502012) |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MI 4301502012) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-28 |
Last Update Date | 2025-10-06 |