| NPI | 1639312192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CO CDRH.0054213) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: ND 21498) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO CDRH.0054213) | |
| 208200000X Plastic Surgery (Licence: CO CDRH.0054213) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: CO CDRH.0054213) | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2024-10-11 |