| 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 |