| NPI | 1083676050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX H6695) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX H6695) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: TX h6695) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-04-10 |