| NPI | 1447818893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME168804) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL L.5039R) |
| 208600000X Surgery (Licence: KS 94-09887) | |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2025-08-06 |