NPI | 1164956728 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NE 36315) |
Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NE 36315) |
2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NE 36315) | |
Enumeration Date | 2017-04-20 |
Last Update Date | 2024-06-29 |