| NPI | 1396839650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME134465) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 70498) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-05-29 |