| NPI | 1780178830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MN 76523) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MO 2018019819) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2024-10-21 |