| NPI | 1346224177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35095773) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL me89533) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2013-01-07 |