NPI | 1326327552 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A150179) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101259588) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-08-05 |
Last Update Date | 2018-08-07 |