| NPI | 1205097896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME147331) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD444776) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME147331) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2022-07-29 |