| NPI | 1730261819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: WI 46805-20) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: WI 46805-20) |
| 208600000X Surgery (Licence: WI 46805-020) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2023-02-13 |