| NPI | 1831889252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ R80301) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-06-14 |