| NPI | 1861781239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: FL ME144026) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: FL ME144026) |
| 208200000X Plastic Surgery (Licence: FL ME144026) | |
| 2086S0105X Surgery Surgery of the Hand (Licence: FL ME144026) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2020-07-09 |