| NPI | 1194088088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MI 4301500311) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: MI 4301500311) |
| Enumeration Date | 2012-06-17 |
| Last Update Date | 2025-05-15 |