| NPI | 1215955497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME140515) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME140515) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 35.086690) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2026-07-02 |