| NPI | 1144371147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: KS 04-34346) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 94-06266) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-02-28 |