| NPI | 1063606721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX T4980) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WV 24233) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NM RS2020-0443) | |
| 208200000X Plastic Surgery (Licence: TX T4980) | |
| 208200000X Plastic Surgery (Licence: WV 24233) | |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2022-01-27 |