| NPI | 1477548402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ME TD171033) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 0425167) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2022-07-21 |