| NPI | 1639266174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OH 35037323A) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35037323A) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: OH 35037323A) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2019-03-04 |