| NPI | 1932349792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MO 2019047271) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: KY 43350) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: IL 036174389) | |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2026-06-05 |