NPI | 1992779474 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME94441) |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: FL ME94441) |
207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: FL ME94441) | |
Enumeration Date | 2006-02-14 |
Last Update Date | 2018-05-11 |