| NPI | 1528404993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CA A185081) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT204058) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: KY 56141) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2024-09-06 |