| NPI | 1588010656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0066085) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 32402) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CO DR.0066085) | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2026-03-18 |