| NPI | 1780115337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PR MD480563) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD480563) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2024-06-26 |