| NPI | 1801855580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME0054690) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME0054690) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2012-02-21 |