| NPI | 1548473713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX P3361) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY 44065) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116017695) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2023-04-18 |