| NPI | 1528086279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A82169) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A82169) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-05-18 |