| NPI | 1619974136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CT 034311) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 034311) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2024-04-25 |