| NPI | 1659508513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM MD2018-0823) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NM RS2009-0324) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VT 042.0013172) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NM MD2018-0823) | |
| 207X00000X Orthopaedic Surgery (Licence: RI 14565) | |
| 207X00000X Orthopaedic Surgery (Licence: VT 042.0013172) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2023-07-14 |