| NPI | 1811955933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME68913) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME0068913) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2023-02-13 |