NPI | 1740717537 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MD D0096678) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0096678) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2023-03-07 |