NPI | 1184115644 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX V0713) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD474704) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-05-21 |
Last Update Date | 2024-06-19 |