NPI | 1194089912 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: DE C2-0012389) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2017006913) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2019-02-13 |