| NPI | 1285662627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CT 024376) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: CT 024376) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2010-07-22 |