| NPI | 1023371168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: DE DR-0024998) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD465174) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2021-11-08 |