| NPI | 1497706824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0050441) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35C.003160) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2025-11-06 |