| NPI | 1265926851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MO 2025033214) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: KS 04-51237) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2026-02-26 |