| NPI | 1437546264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: SD 17839) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MO 2020041696) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: IA MD-55790) | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2025-10-01 |