| NPI | 1346624681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DE C1-0024919) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: DE C1-0024919) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: DE C1-0024919) | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2022-12-12 |