| NPI | 1164833612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: DE C1-0013633) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT206253) |
| Enumeration Date | 2014-05-17 |
| Last Update Date | 2020-07-09 |