| NPI | 1598115073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MI 4301506748) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: KY 54975) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2023-02-22 |