| NPI | 1770993693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 312386) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CT 65200) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NY 312386) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2025-05-28 |