| NPI | 1548729528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101282795) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 64236) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2024-08-06 |