| NPI | 1750776050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: OK 39571) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OK 39571) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2022-08-25 |