NPI | 1407081185 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 59611) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 53280) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 156695) | |
Enumeration Date | 2009-05-25 |
Last Update Date | 2015-09-14 |