| NPI | 1801832738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 0433406) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 118179) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2011-12-30 |