| NPI | 1801878327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: FL ME77408) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME77408) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME77408) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2022-11-10 |