| NPI | 1992144737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: IA MD-47565) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.165631) |
| 2086S0105X Surgery Surgery of the Hand (Licence: IA MD-47565) | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2024-08-15 |