| NPI | 1275738171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: KY 47277) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: IN 01074143A) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2015-01-08 |