| NPI | 1134379902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NY 269255) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NY 269255) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2016-09-13 |