| NPI | 1710108618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NC 2016-00165) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 133967) |
| 207X00000X Orthopaedic Surgery (Licence: NC 2016-00165) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NV 13999) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX Q2000) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IL 036130778) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2022-02-09 |