NPI | 1972814069 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A120313) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 261870) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-06-23 |
Last Update Date | 2018-08-14 |