| NPI | 1538125950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2008-00691) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME 93423) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2023-08-29 |