| NPI | 1467675710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL ME101597) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD437960) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME101597) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: PA MD437960) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TN MD46461) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2022-09-18 |