| NPI | 1831276187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35-091121) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 053940) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01065069A) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-10-02 |