| NPI | 1154504264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 33653) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 0435516) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2018-05-09 |