NPI | 1922369669 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: IL 036.146855) |
Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: PA MT212652) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-05-30 |
Last Update Date | 2022-11-01 |