| NPI | 1467676718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: GA 061379) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 232431) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: GA 061379) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2018-08-08 |