| NPI | 1558529438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2011-01084) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 43478) |
| 207X00000X Orthopaedic Surgery (Licence: IN 11012750a) | |
| 207X00000X Orthopaedic Surgery (Licence: OH 35.095415) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2020-10-25 |