| NPI | 1740323989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: TX G9507) |
| Additional Taxonomies | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: TX G9507) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-05-28 |