| NPI | 1467696195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: FL ME125449) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME125449) |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: FL ME125449) | |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2021-03-31 |