| NPI | 1407800725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 0532525) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2007011384) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2019-07-29 |