| NPI | 1205884822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.062680) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35062680G) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OH 3506280G) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2017-12-05 |