| NPI | 1265660062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MI 4301094921) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: MI 4301094831) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2025-05-19 |