| NPI | 1235594482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 088646488) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036168773) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2024-04-19 |