| NPI | 1386671238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 0433509) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 107822) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2011-12-30 |