| NPI | 1942238118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 0419169) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 33523) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2013-08-06 |