| NPI | 1184692022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: OH 35.053323) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35-053323) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: OH 35-053323) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2016-01-15 |