| NPI | 1346354602 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME98308) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35-080750) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2019-05-21 |