NPI | 1346624681 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: DE C1-0024919) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: DE C1-0024919) | |
207XX0005X Orthopaedic Surgery Sports Medicine (Licence: DE C1-0024919) | |
Enumeration Date | 2015-07-16 |
Last Update Date | 2024-06-05 |