| NPI | 1801014956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SD 7554) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 0431898) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2009-07-16 |