NPI | 1700249133 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM MD2021-0620) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 55073) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-02 |
Last Update Date | 2024-10-29 |