| NPI | 1437738341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA OS026097) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 34.018716) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2026-07-06 |