| NPI | 1669217055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 35.156765) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.156765) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: OH 35.156765) | |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2026-07-17 |