| 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 |