| NPI | 1194926840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2012-00574) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35086673) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2022-12-12 |