| NPI | 1912291006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX R1874) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX R1874) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2022-10-06 |