| NPI | 1043477532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AZ 41859) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 238341) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2018-03-26 |