| NPI | 1770741902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.093091) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX P6529) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2016-12-19 |