| NPI | 1558393637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: OK 2858) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 2858) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-03-29 |