NPI | 1619266574 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO DR.0052809) |
Additional Taxonomies | 174400000X Specialist (Licence: CO DR.0052809) |
207X00000X Orthopaedic Surgery (Licence: CO DR.0052809) | |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: LA MD.205683) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-03-31 |
Last Update Date | 2022-10-03 |