| NPI | 1295730323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX Q2944) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: AK 4926) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2023-03-07 |