| NPI | 1871581355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL ME177902) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MI 4301066493) |
| 207X00000X Orthopaedic Surgery (Licence: MI 4301066493) | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2025-11-24 |