| NPI | 1124227236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA OS015140) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DE C2-0012824) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2024-09-13 |