| NPI | 1215131701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 04-36662) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2013026069) |
| 207X00000X Orthopaedic Surgery (Licence: OH 35.121283) | |
| 207X00000X Orthopaedic Surgery (Licence: NC 2012-00760) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2021-06-11 |