| NPI | 1326327552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A150179) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101259588) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2018-08-07 |