NPI | 1720435605 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NJ 25MB11413200) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MB11413200) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-19 |
Last Update Date | 2022-07-28 |