NPI | 1578058665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX T7746) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A154951) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-06-29 |
Last Update Date | 2022-09-07 |