| NPI | 1477593937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301051921) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.083942) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2017-03-24 |