| NPI | 1942292537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 04-17233) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO R3575) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2007-07-08 |