| NPI | 1518459726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: FL OS19821) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO6072) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2023-06-06 |