NPI | 1992023972 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AL MD.31413) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL MD.31413) |
207X00000X Orthopaedic Surgery (Licence: NC 2015-00983) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-05-14 |
Last Update Date | 2021-05-24 |