| NPI | 1508270877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AK 162642) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MO 2019007890) |
| 207X00000X Orthopaedic Surgery (Licence: MO 2019007890) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2022-01-26 |