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 |