| NPI | 1194797829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35049985l) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 23944) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-10-21 |