| NPI | 1912149469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A142598) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 261828) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2021-11-29 |