| NPI | 1922117787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CT 027669) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CT 027669) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MA 72702) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: CT 027669) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2024-03-06 |