| NPI | 1932184959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: CA A43628) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A43628) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: CA 231) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA 5182) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2021-07-27 |