| NPI | 1457328676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 39944) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.087407) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01071430A) | |
| 207X00000X Orthopaedic Surgery (Licence: TX L8355) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2024-04-11 |