| NPI | 1023246923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: GA 73622) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10034236) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207X00000X Orthopaedic Surgery (Licence: GA 73622) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2015-07-23 |