| NPI | 1730307588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: RI MD16553) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: RI MD16553) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MA 251247) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2019-03-26 |