NPI | 1992237580 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: OH 35.135846) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.135846) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-01 |
Last Update Date | 2024-05-24 |