| NPI | 1396126694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MN 71209) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MN 71209) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2023-09-22 |