| NPI | 1225393747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.136429) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 52849) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01082605A) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2021-07-13 |