| NPI | 1942229596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MO 2006018896) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MO 2006018896) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-05-20 |