| NPI | 1215131701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: KS 04-36662) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MO 2013026069) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: OH 35.121283) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: KS 04-36662) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MO 2013026069) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OH 35.121283) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2024-08-21 |