NPI | 1598185092 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 60838) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 277969) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-23 |
Last Update Date | 2020-07-29 |