NPI | 1346536703 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA A122776) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 63815) |
207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: PA MT212625) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-06-23 |
Last Update Date | 2019-05-07 |