| NPI | 1992890339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KS 04-34445) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 47323) |
| 207X00000X Orthopaedic Surgery (Licence: MO 2004014125) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-06-11 |