| NPI | 1467634873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX R1094) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN MD0000048082) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2023-12-29 |