| NPI | 1407219793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 319013) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 31903) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 63722) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-05-15 |