| NPI | 1730120361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: MI 4301081182) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MI 4301081182) |
| 208200000X Plastic Surgery (Licence: MI 4301081182) | |
| 2082S0105X Plastic Surgery Surgery of the Hand (Licence: MI 4301081182) | |
| 2086S0105X Surgery Surgery of the Hand (Licence: MI 4301081182) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2025-03-28 |