| NPI | 1699772277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OR MD23577) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: AZ MD23577) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-11-11 |