NPI | 1659936409 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 1018728) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD 1659936405) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-05-07 |
Last Update Date | 2024-06-07 |