| NPI | 1740675057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 303070) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: NY 303070) |
| 2082S0105X Plastic Surgery Surgery of the Hand (Licence: NY 303070) | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2024-09-11 |