| NPI | 1528231834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OH 35.120431) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301102136) |
| 207X00000X Orthopaedic Surgery (Licence: OH 35.120431) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2024-03-14 |