| NPI | 1043980543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH APRN.CNP.026066) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH APRN.CNP.026066) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2023-07-12 |