| NPI | 1225233604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 24648) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL TRN10336) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2021-02-10 |