| NPI | 1619360799 |
|---|---|
| Other Name | NATHAN DODGE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR PG182623) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2017-05-09 |