NPI | 1861924524 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 58230) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME154763) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-31 |
Last Update Date | 2023-09-01 |