| NPI | 1801869052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME90687) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME90687) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2021-01-27 |