| NPI | 1023121910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI MG037325) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MI MG037325) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MI MG037325) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2025-09-11 |