| NPI | 1619912466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 287912) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MA 287912) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2025-12-29 |