| NPI | 1336660034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: OH 35.151574) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OH 35.151574) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2026-02-26 |