| NPI | 1225034531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MO R7J00) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: KS 04-23214) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2012-06-04 |