| NPI | 1841496726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AK 6720) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: HI MDR-4147) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2016-11-10 |