| NPI | 1598928210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301092587) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301092587) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CO Dr.0053487) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2024-04-17 |