| NPI | 1487747168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME37481) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL 0037481) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-06-08 |