| NPI | 1194966416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A106890) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: CA A106890) |
| 2082S0105X Plastic Surgery Surgery of the Hand (Licence: CA A106890) | |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2023-09-08 |