| NPI | 1922328038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME142376) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX Q8795) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2020-08-31 |