| NPI | 1922398866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: MN 64199) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MD 00000) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2018-07-25 |