| NPI | 1346200011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AK 5149) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AK 4951) |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2022-03-09 |