| NPI | 1669884946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 04-43173) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 94-08330) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2023-10-17 |