| NPI | 1386661916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: MO R2P77) |
| Additional Taxonomies | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: MO R2P77) |
| 2086S0127X Surgery Trauma Surgery (Licence: MO R2P77) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-04-15 |