| NPI | 1841264256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME84747) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 214250) |
| 207X00000X Orthopaedic Surgery (Licence: VA 0101040787) | |
| 207X00000X Orthopaedic Surgery (Licence: ME 015946) | |
| 207X00000X Orthopaedic Surgery (Licence: FL 84747) | |
| 207X00000X Orthopaedic Surgery (Licence: NC 2007-00852) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2014-01-07 |