| NPI | 1972780526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: GA 059051) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 059051) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2020-06-17 |