| NPI | 1801881859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 20215) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 0423046) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2024-05-03 |