| NPI | 1386975506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: TX P2901) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: AL L3489) |
| 2082S0105X Plastic Surgery Surgery of the Hand (Licence: AL L3489) | |
| 2086S0105X Surgery Surgery of the Hand (Licence: TX P2901) | |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2023-07-07 |