| NPI | 1255347977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD039905E) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: PA MD039905E) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2026-02-06 |