| NPI | 1033121140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: FL ME0098187) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: TX M3659) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME0098187) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2014-04-17 |