| NPI | 1952544876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MI 5101021584) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IN 02004389A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2019-03-04 |