| NPI | 1447229166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME142065) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX K9860) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2019-11-20 |