| NPI | 1275528275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35085092) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OH 35085092) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: OH 35085092) | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2019-04-25 |