| NPI | 1477084143 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: PA MD486898) | 
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: PA MD486898) | 
| Enumeration Date | 2017-03-24 | 
| Last Update Date | 2025-06-27 |