| NPI | 1033313788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: ME MD21598) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 064957) |
| 207X00000X Orthopaedic Surgery (Licence: PA mt185323) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: GA 064957) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2017-12-11 |