NPI | 1649665092 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA A146545) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 88997) |
207X00000X Orthopaedic Surgery (Licence: CA A146545) | |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA A146545) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-02 |
Last Update Date | 2022-08-02 |