| NPI | 1740232784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME69615) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: FL ME69615) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME0069615) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-07-26 |