| NPI | 1760410542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 04-26856) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 29046) |
| 207X00000X Orthopaedic Surgery (Licence: MO 107602) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2022-07-21 |