| NPI | 1093716011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME38790) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME0038790) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: FL ME38790) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME38790) | |
| 202C00000X Independent Medical Examiner (Licence: FL ME38790) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2017-03-16 |