NPI | 1053433375 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: TX P3315) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MN 105445) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301081432) | |
207X00000X Orthopaedic Surgery (Licence: MN 105445) | |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MN 54404) | |
Enumeration Date | 2007-04-06 |
Last Update Date | 2012-08-07 |