| NPI | 1659698561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 04-41638) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2018036871) |
| Enumeration Date | 2010-05-02 |
| Last Update Date | 2022-09-30 |