| NPI | 1255480885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 4729) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2006015216) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2022-08-03 |