| NPI | 1346564234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: GA 85073) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: GA 85073) |
| 183500000X Pharmacist (Licence: TN 33568) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: TX BP10066100) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-03-21 |
| Last Update Date | 2026-02-02 |