| NPI | 1578902573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: AZ 66965) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 66965) |
| 208600000X Surgery (Licence: SC LL36004) | |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2024-11-13 |