NPI | 1194045773 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX Q3643) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101249984) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-06-07 |
Last Update Date | 2021-05-24 |