| NPI | 1841483351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OH 34010289) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101016605) |
| 207X00000X Orthopaedic Surgery (Licence: OH 34010289) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2013-02-26 |