| NPI | 1922260462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 04-38997) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI LP01363) |
| 207X00000X Orthopaedic Surgery (Licence: RI 14173) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2016-08-31 |