| NPI | 1801000286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35-094929) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 57.009181) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-12-06 |