| NPI | 1447205026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ME MD8493) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL 2739402) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2017-08-18 |