| NPI | 1407883911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2002020205) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 04-33417) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2022-11-17 |