NPI | 1255823209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX 10067229) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX 123456789) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-06-05 |
Last Update Date | 2022-12-01 |