| NPI | 1851392385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: ME MD19592) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: FL ME0093552) |
| 207Q00000X Family Medicine (Licence: KY 44018) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2013-03-13 |