| NPI | 1093978223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR0053611) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 94-06920) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2022-07-21 |