| NPI | 1073604609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: UT 187115-1205) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: UT 187115-1205) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: UT 187115-1205) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-11-27 |