| NPI | 1851385140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 30764) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: IN 01044263A) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: KY 30764) | |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2023-08-23 |