| NPI | 1457673774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NH 17425) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: KY 03821) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: PA OS017522) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2016-08-04 |