| NPI | 1639222425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: AK 3478) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AK 3478) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |