| NPI | 1336306323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME106888) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 6359053-1205) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2021-12-22 |