| NPI | 1518168806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME95823) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A112030) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL ME95823) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2024-06-18 |