| NPI | 1326006347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2007-00480) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ME MD29110) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2025-10-07 |