| NPI | 1558667089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TN 55862) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: TN 55862) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2022-07-21 |