| NPI | 1861810541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 04-43395) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301106077) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2020-08-19 |