| NPI | 1891780771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 04-36268) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME99011) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2014-02-06 |