| NPI | 1942319538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME65743) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME65743) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: FL ME65743) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2022-02-27 |