| NPI | 1578534558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: DE CI0002452) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DE C10002452) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2018-10-05 |