| NPI | 1992721724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MA 78337) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: PA MD049272L) |
| 208200000X Plastic Surgery (Licence: MA 78337) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-05-21 |