| NPI | 1801024823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME118246) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 003545) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2022-08-19 |