| NPI | 1427104926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: KS 04-33083) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 04-33083) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2009-12-21 |