| NPI | 1942595319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0068641) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 7599) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2022-04-21 |