| NPI | 1043417611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME 103069) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 69060) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2024-08-27 |