| NPI | 1891085668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME132158) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MO 2016006394) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL ME132158) | |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2021-03-15 |