| NPI | 1083698112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MA 79920) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MA 79920) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2024-05-21 |