NPI | 1942705934 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 73241) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2023-00993) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-29 |
Last Update Date | 2024-09-10 |