| NPI | 1417984162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 228630) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: NY 228630) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2021-03-04 |