| NPI | 1083805758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NE 28077) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX P2723) |
| 207X00000X Orthopaedic Surgery (Licence: NE 28077) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX P2723) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2021-12-07 |