| NPI | 1669653523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: VA 0101252108) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101252108) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 0101252108) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2020-10-22 |