| NPI | 1194750893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME0053893) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 46334) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-01-23 |