| NPI | 1619532553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036173525) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01095552A) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036173525) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 01095552A) | |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2025-01-30 |