| NPI | 1841792405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0071219) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102205925) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2023-09-28 |