NPI | 1649596933 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD454724) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207X00000X Orthopaedic Surgery (Licence: NJ 25MA09697700) | |
Enumeration Date | 2010-04-13 |
Last Update Date | 2015-08-21 |