| NPI | 1124521950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 73333) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AZ 73333) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: AZ 73333) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: AZ 73333) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2024-10-30 |