| NPI | 1851340442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME164657) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AR E-9202) |
| 207X00000X Orthopaedic Surgery (Licence: MD D57491) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2023-10-19 |