| NPI | 1528223369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WV 2621) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 34.009284) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2023-03-07 |