| NPI | 1720278302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: PA MD451052) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: NY 274648) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2021-03-03 |