| NPI | 1336326206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 4066) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL OS10473) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2017-02-01 |