| NPI | 1073700928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 30295) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 29077) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2024-04-09 |