| NPI | 1003920877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: KS 05-33528) |
| Additional Taxonomies | 208600000X Surgery (Licence: KS 05-33528) |
| 208D00000X General Practice (Licence: KS 05-33528) | |
| 207KA0200X Allergy & Immunology, Allergy (Licence: KS 05-33528) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2023-11-28 |