| NPI | 1922486489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 31525) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: AZ 60067) |
| 207X00000X Orthopaedic Surgery (Licence: AZ 60067) | |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2023-10-04 |