| NPI | 1083028161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MN 68099) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MI 4301105284) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2021-11-11 |