| NPI | 1457507659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: KS 0435024) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR md28399) |
| 207X00000X Orthopaedic Surgery (Licence: KS 04-35024) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2022-09-07 |