| NPI | 1326279928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: PA MD436867) |
| Additional Taxonomies | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: PA MD436867) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2009-07-30 |