| NPI | 1225201668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.128414) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 04-37125) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2018-02-01 |