| NPI | 1639144314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NE 21877) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 0429456) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2019-05-15 |