| NPI | 1790312643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036.173751) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036.173751) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01095804A) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IN 01095804A) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 01095804A) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2025-05-14 |