| NPI | 1306498761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX 47325) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX BP10069407) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL ME144998) | |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2022-04-19 |