| NPI | 1023711173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 16338) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208600000X Surgery (Licence: AL L.5964R) | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-06-17 |