| NPI | 1053708198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ME Md24836) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: ME Md24836) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2022-03-11 |