| NPI | 1285805895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MI 4301076376) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MI 4301076376) |
| 208600000X Surgery (Licence: MI 4301076376) | |
| Enumeration Date | 2008-03-23 |
| Last Update Date | 2010-07-23 |