| NPI | 1023013471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 350559319S) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 31910) |
| 207X00000X Orthopaedic Surgery (Licence: IL 036054951) | |
| 207X00000X Orthopaedic Surgery (Licence: IN 01041143A) | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2013-09-23 |