| NPI | 1447211545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301091180) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME137486) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2022-02-15 |