| NPI | 1003016205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 35.0993394) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: OH 35.099394) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2023-10-18 |