| NPI | 1346566775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 49582) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207X00000X Orthopaedic Surgery (Licence: KY TP263) | |
| 207X00000X Orthopaedic Surgery (Licence: NC 2015-00487) | |
| 207X00000X Orthopaedic Surgery (Licence: IN 99073144A) | |
| 207X00000X Orthopaedic Surgery (Licence: IN 01077284A) | |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2016-09-21 |