| NPI | 1679894950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MA 265779) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA L-243792) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2018-11-14 |