| NPI | 1265698294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL OS12020) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: GA 71823) |
| 207X00000X Orthopaedic Surgery (Licence: GA 71823) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 58.002742) | |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2018-03-27 |