NPI | 1881691681 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME52022) |
Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: FL ME52022) |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL ME52022) | |
Enumeration Date | 2005-07-07 |
Last Update Date | 2018-05-15 |