| NPI | 1932178415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ME 014781) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA md053303l) |
| 207X00000X Orthopaedic Surgery (Licence: AL 00020589) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2023-05-10 |