| NPI | 1326401266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME155665) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME155665) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME155665) | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2023-05-31 |