| NPI | 1013536945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AZ 81023) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 79179) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2026-08-18 |