| NPI | 1518953116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WV 14893) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: WV 14893) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: OH 35054828) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OH 35054828) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2008-04-14 |