| NPI | 1467490763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: FL ME108001) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME108001) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2024-10-23 |