| NPI | 1972624542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX P5238) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX P5238) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: TX P5238) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX P5238) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2022-12-06 |