| NPI | 1740508399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101268975) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ME MD21036) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2023-09-21 |