| NPI | 1336251388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.096872) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 43897) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OH 35.096872) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: KY 43897) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-05-14 |