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 |