| NPI | 1366576233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 50997) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35-089882) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01081824A) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2024-04-11 |