| NPI | 1235321381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 05-40445) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OK 5414) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2018-03-17 |