| NPI | 1053499541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AZ 47711) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A90343) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: AZ 47711) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-01-07 |