| NPI | 1629233895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AK 107960) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WY 8512A) |
| 207X00000X Orthopaedic Surgery (Licence: WY 8512A) | |
| Enumeration Date | 2008-07-27 |
| Last Update Date | 2024-03-25 |