| NPI | 1144225798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: AK 6826) |
| Additional Taxonomies | 174400000X Specialist (Licence: AK 6826) |
| 207X00000X Orthopaedic Surgery (Licence: AK 6826) | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2022-10-14 |