| NPI | 1598816126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 94-06251) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2011007292) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2024-03-08 |