| NPI | 1275793374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NH 14818) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0068646) |
| 207X00000X Orthopaedic Surgery (Licence: ME 018390) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2017-02-23 |