| NPI | 1295701035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME104272) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 026773) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2012-06-01 |