NPI | 1992088652 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A124879) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 49197) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-09-20 |
Last Update Date | 2023-09-04 |