NPI | 1053739185 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA a170626) |
Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CA a170626) |
208600000X Surgery (Licence: MD D89169) | |
2086S0102X Surgery, Surgical Critical Care (Licence: CA A170626) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-05 |
Last Update Date | 2022-10-06 |