| NPI | 1033328109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IA MD-39356) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.119290) |
| 208600000X Surgery (Licence: IA 39356) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036.119290) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IA 39356) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2024-05-10 |