| NPI | 1790784544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME64807) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME0064807) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME0064807) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-11-03 |