NPI | 1174028633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 322392) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036170175) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-27 |
Last Update Date | 2024-05-21 |