| NPI | 1255397543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery Surgery of the Hand (Licence: SC 32227) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: SC 32227) |
| 2086S0105X Surgery Surgery of the Hand (Licence: FL ME81367) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-03-12 |