| NPI | 1699913426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME139978) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 259045) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2021-03-31 |