| NPI | 1780994509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MS 26953) |
| Additional Taxonomies | 208600000X Surgery (Licence: MS 26953) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: MS 26953) | |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2021-03-23 |