| NPI | 1316996119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 303847) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DE C1-0003720) |
| 207X00000X Orthopaedic Surgery (Licence: MD D83131) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-05-19 |