NPI | 1851568117 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: CA A123715) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A123715) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-05-14 |
Last Update Date | 2024-06-27 |