| NPI | 1528226008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME109071) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME109071) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2011-05-26 |