| NPI | 1942213624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME100767) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA a96707) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2009-08-31 |