| NPI | 1073711982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.127590) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 45756) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2023-11-09 |