| NPI | 1437596293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TN 64268) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME140703) |
| 207X00000X Orthopaedic Surgery (Licence: TN 64268) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL ME140703) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2025-02-11 |