| NPI | 1851551717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: FL ME123690) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MN 68669) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2021-06-24 |