NPI | 1780995209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OH 35.129227) |
Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OH 57.018472) |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: PA MD455701) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-06-30 |
Last Update Date | 2018-05-02 |