| NPI | 1144266966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NY 226536) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 25ma07902300) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2021-04-01 |