| NPI | 1437311198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 252701) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35091185) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2013-01-22 |