| NPI | 1912027798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CA C192604) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: AZ 43236) |
| 208200000X Plastic Surgery (Licence: AZ 43236) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2024-04-01 |