| NPI | 1568195915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 125.085598) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL 35916) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11022724A) | |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2025-08-03 |