NPI | 1346745767 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116037517) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 65995) |
207X00000X Orthopaedic Surgery (Licence: MN 29304) | |
Enumeration Date | 2018-03-27 |
Last Update Date | 2024-01-11 |