| NPI | 1760776926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 04-17828) |
| Additional Taxonomies | 209800000X Legal Medicine (Licence: KS 04-17828) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |