| NPI | 1861885428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NE 37135) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: NE 37135) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2025-09-22 |