| NPI | 1811036692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 23409) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA 202816) |
| 207X00000X Orthopaedic Surgery (Licence: OK OK23409) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2019-03-26 |