NPI | 1063875367 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 35.150347) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: FL ME159388) |
2082S0105X Plastic Surgery, Surgery of the Hand (Licence: FL ME159388) | |
2082S0105X Plastic Surgery, Surgery of the Hand (Licence: OH 35.150347) | |
Enumeration Date | 2016-04-04 |
Last Update Date | 2024-04-03 |