| NPI | 1407880123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OH 054237) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35054237) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-05-08 |