| NPI | 1477864049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: PA MD457835) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT197855) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CA 135138) | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2017-03-17 |