NPI | 1942629969 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TN 61037) |
Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: GA 88090) |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY 52470) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-08 |
Last Update Date | 2025-05-07 |