| NPI | 1689615429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: SC 20143) |
| Additional Taxonomies | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: SC 20143) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2023-06-20 |