| NPI | 1427003417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ME MD13728) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ME 013728) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-06-14 |