| NPI | 1225025968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AK 7834) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 22049) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2023-02-08 |