| 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: MO 2010015929) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-08-22 |