| NPI | 1174715551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: FL ME110113) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME110113) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME110113) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2020-07-19 |