NPI | 1568995413 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD476394) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA FA1723875) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-07 |
Last Update Date | 2022-07-22 |