| NPI | 1073537635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101044185) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: VA 0101044185) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: VA 0101044185) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |