| NPI | 1467694521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME110378) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME110378) |
| 2086S0127X Surgery, Trauma Surgery (Licence: FL ME110378) | |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2024-07-22 |