| NPI | 1780815696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME108630) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 079752) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2019-11-22 |