| NPI | 1326294299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: DE C2-0012983) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA OS017073) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2022-03-30 |