| NPI | 1972895027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CA A149588) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: CA A149588) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA A149588) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A149588) | |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2021-08-26 |