| NPI | 1306925482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO 46413) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MD D0065253) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2014-11-13 |