| NPI | 1932273240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: FL ME116291) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: FL fl116291) |
| 208600000X Surgery (Licence: CA A81602) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2022-02-24 |