| NPI | 1417349986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CO Dr.0064004) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO Dr.0064004) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CO 64004) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2021-09-21 |