| NPI | 1386272144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: VA 0101288437) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 01096001A) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IN 01096001A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 036174760) | |
| 207X00000X Orthopaedic Surgery (Licence: IL 036174760) | |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2026-08-19 |