| NPI | 1386763928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301091534) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ME 017350) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2022-05-20 |