| NPI | 1801038450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0049475) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 57709) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2023-05-05 |