| NPI | 1598933657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 04-53686) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KS 04-53686) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MO 2026037183) | |
| 207X00000X Orthopaedic Surgery (Licence: MI 4301514481) | |
| 207X00000X Orthopaedic Surgery (Licence: MO 2026037183) | |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2026-08-13 |