| NPI | 1750547352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MO 2013037311) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: MO 2013037311) |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2022-02-22 |