NPI | 1942320148 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CO 0047746) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AL 31590) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-03-30 |
Last Update Date | 2021-06-19 |