| NPI | 1609405356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: DE C1-0028806) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD492595) |
| Enumeration Date | 2020-04-05 |
| Last Update Date | 2026-01-13 |