| NPI | 1326091158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35-037771) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: OH 35-037771) |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: OH 35-037771) | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: OH 35-037771) | |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: OH 35-037771) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: OH 35-037771) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2009-02-20 |