NPI | 1215321658 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX T3011) |
Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX T3011) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-24 |
Last Update Date | 2021-08-12 |