| NPI | 1154339505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0026618) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 0433802) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KS 0433802) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-02-13 |