| NPI | 1174720536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NJ 25MB08776300) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CT 047306) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 390200000X) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2025-01-10 |