| NPI | 1235351610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX N8956) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036116392) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: IL 036116392) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: TX N8956) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2017-04-23 |