NPI | 1346449873 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: VA 0101251870) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI 13584) |
207X00000X Orthopaedic Surgery (Licence: VA 0101251870) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-07-14 |
Last Update Date | 2020-10-21 |