| NPI | 1215912944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35084670) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DE C1-0026753) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2024-02-12 |