NPI | 1447756721 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A166433) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A155433) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-04 |
Last Update Date | 2024-10-25 |