| NPI | 1831216746 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: DE C1-0009482)  | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD432176)  | 
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: DE C1-0009482)  | |
| Enumeration Date | 2007-03-23 | 
| Last Update Date | 2025-05-15 |