| NPI | 1114257276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX Q5832) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX Q5832) |
| 208200000X Plastic Surgery (Licence: TX Q5832) | |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2021-08-26 |