| NPI | 1952507485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 068163) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 046817) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-05-19 |