| NPI | 1932392404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NC 2015-00656) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2015-00656) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL ME114049) | |
| Enumeration Date | 2007-08-19 |
| Last Update Date | 2023-07-12 |