| NPI | 1225067606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME83929) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WY 7868A) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2008-07-18 |