| NPI | 1821443284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IL 036.159458) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IN 01087241A) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 13-3971298) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2022-06-03 |