| NPI | 1942281308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 34-00-7054C) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 34007054C) |
| 207X00000X Orthopaedic Surgery (Licence: OH 34-007054C) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2012-06-19 |