| NPI | 1285197475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: MA 1017976) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 1017976) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2024-07-25 |