| NPI | 1376545079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME88105) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 232110) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL ME 88105) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2020-03-12 |