| NPI | 1265659296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 04-33767) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2009012771) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-09-30 |