| NPI | 1134462393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: RI MD16623) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 273713) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NC 193876) | |
| 207X00000X Orthopaedic Surgery (Licence: RI MD16623) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2023-02-17 |