NPI | 1518578772 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A169886) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A169886) |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A169886) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-08-12 |
Last Update Date | 2020-10-12 |