| NPI | 1760605455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M-16171) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MT Med-Phys-Lic-69984) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL ME108720) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2024-04-26 |