| 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 |