| NPI | 1699207290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: VA 0101277816) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101277816) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2025-03-24 |