| NPI | 1437575883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: SC 83088) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 5817) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2021-02-24 |