| NPI | 1669423539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: ID M9557) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: ID M9557) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2015-01-02 |