NPI | 1205256229 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A167442) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A167442) |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A167442) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-17 |
Last Update Date | 2021-08-03 |