| NPI | 1023458536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX Q6022) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA GET.201261) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX Q6022) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2023-07-07 |