| NPI | 1902984990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: SC 28914) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC LL28914) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 264927-1) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-12-19 |