| NPI | 1679064182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME160532) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019871A) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01092642A) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IN 01092642A) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME160532) | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2024-04-23 |