| NPI | 1538120167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ME DO1751) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ME 5101013602) |
| 208600000X Surgery (Licence: ME DO1751) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2019-03-11 |