| NPI | 1962519595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: VA 0101045793) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: VA 541749837) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: VA 541749837) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: VA 541749837) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: VA 541749837) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: VA 541749837) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: VA 541749837) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2023-06-26 |