NPI | 1477931137 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD490299) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AR E-14370) |
208000000X Pediatrics (Licence: CA A167911) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-05-14 |
Last Update Date | 2025-08-01 |