| NPI | 1205298122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: OK 6194) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 1205298122) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-03-20 |