| NPI | 1841346426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME107908) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 47348) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2017-10-20 |