| NPI | 1225234891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MD D74599) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MA L-225077) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD D0074599) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2013-08-15 |