| NPI | 1952506214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MN 49998) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 2012-01557) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NC 2012-01557) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-09-18 |