| NPI | 1922088210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 002091) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 34-00-2091) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2013-10-28 |