| NPI | 1205820560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: KY 23236) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: IN 01051602A) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2012-06-12 |