NPI | 1952930968 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 76458) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 8500-851) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-02 |
Last Update Date | 2022-03-22 |