NPI | 1003875063 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: NJ 25MA07387500) |
Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NJ 25MA07387500) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2015-08-18 |