| NPI | 1225073216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: TX G6096) |
| Additional Taxonomies | 2086S0105X Surgery Surgery of the Hand (Licence: TX G6096) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2008-02-11 |