| NPI | 1508072026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME 102131) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME 102131) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: FL ME 102131) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2012-04-19 |