| NPI | 1114060126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA G42815) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA G42815) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-07-29 |