| NPI | 1720057391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: VA 0101040387) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: VA 0101040387) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2014-02-18 |