NPI | 1669738290 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: HI MD-22036) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A126858) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-09 |
Last Update Date | 2024-04-20 |