| NPI | 1629463328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: OH 35.138011) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: MN 69278) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OH 35.138011) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2024-01-23 |