NPI | 1578592895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-12426) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125.062786) |
207X00000X Orthopaedic Surgery (Licence: CA A156007) | |
225100000X Physical Therapist (Licence: OK 3952) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2006-06-30 |
Last Update Date | 2024-06-10 |