NPI | 1447748157 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT018277) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA OT018277) |
Enumeration Date | 2018-04-27 |
Last Update Date | 2020-09-24 |