| NPI | 1972772556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CT 046819) |
| Additional Taxonomies | 174400000X Specialist |
| 208600000X Surgery (Licence: CT 046819) | |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2016-03-09 |