| NPI | 1598022717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME131507) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME131507) |
| 207X00000X Orthopaedic Surgery (Licence: NC 2017-00490) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2021-08-26 |