NPI | 1780190264 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NV DO3399) |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: FL OS18711) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO5601) | |
Enumeration Date | 2017-12-20 |
Last Update Date | 2023-08-18 |