| NPI | 1265725493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ME MD22336) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI MD15421) |
| 207X00000X Orthopaedic Surgery (Licence: UT 10320669-1205) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: UT 10320669-1205) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: UT 10320669-1205) | |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2022-12-22 |