| NPI | 1487948527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ME MD21528) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 248329) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2022-07-21 |