| NPI | 1902975527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: KY 27223) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: KY 27223) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: KY 27223) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: VA 0101042348) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2023-03-09 |