| NPI | 1619260486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: FL ME132115) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME132115) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2023-03-07 |