| NPI | 1144212226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS KS04-35007) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 27463) |
| 207X00000X Orthopaedic Surgery (Licence: OK 29078) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2013-10-04 |