| NPI | 1699733576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX M3496) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 226264-1) |
| 207P00000X Emergency Medicine (Licence: TX M3496) | |
| 208600000X Surgery (Licence: TX M3496) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: TX M3496) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2013-10-15 |