| NPI | 1346218237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD069514L) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DE CL-0006605) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2014-01-16 |