| NPI | 1700503091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11023333A) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: FL 36474) |
| 207X00000X Orthopaedic Surgery (Licence: AL L6145VP) | |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2024-08-04 |