| NPI | 1477532711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 43168) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 48377) |
| Enumeration Date | 2006-01-14 |
| Last Update Date | 2023-03-07 |