| NPI | 1144256041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL ME109050) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME109050) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: KY 54804) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NH 12209) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2023-05-11 |