| NPI | 1851505036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: ME 018229) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 57.006045) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-04-28 |