| NPI | 1275736290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: IA 39948) |
| Additional Taxonomies | 2086S0105X Surgery Surgery of the Hand (Licence: IA 39948) |
| 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: IL 036118419) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-03-04 |