| NPI | 1386867117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OH 35.085153) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.085153) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2016-04-12 |