| 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 |