| NPI | 1720437957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD485747) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD485747) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2024-08-01 |