| NPI | 1205802683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ME 016765) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NH 16008) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2018-09-18 |