| NPI | 1831133594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 04-32256) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 48464) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MN 48464) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: KS 04-32256) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2010-02-18 |