NPI | 1366593915 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-34857) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 94-06448) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2020-02-04 |