| NPI | 1952356941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: FL ME98295) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 227357) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME98295) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2025-06-25 |