| NPI | 1063626877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 2014-00531) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NC 2014-00531) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2018-12-04 |