| NPI | 1164650487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A113473) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207X00000X Orthopaedic Surgery (Licence: OH 35.125356) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 35.125356) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A113473) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2016-09-30 |