| NPI | 1629132022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AK 4235) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AK 4235) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: AK 4235) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |