| NPI | 1619266574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO DR.0052809) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO DR.0052809) |
| 207X00000X Orthopaedic Surgery (Licence: CO DR.0052809) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: LA MD.205683) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2022-10-03 |