| NPI | 1841639838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME139722) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL TRN 19082) |
| Enumeration Date | 2013-06-23 |
| Last Update Date | 2024-02-05 |