| NPI | 1003079435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: MD D67637) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MD D67637) |
| 208200000X Plastic Surgery (Licence: OH 35094149) | |
| 2082S0105X Plastic Surgery Surgery of the Hand (Licence: OH 35094149) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2022-04-04 |