| NPI | 1316116338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 34.009453) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0102202967) |
| Enumeration Date | 2008-02-23 |
| Last Update Date | 2014-10-17 |