| NPI | 1053304766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 58251) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AK 4942) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2022-11-21 |