| NPI | 1073792255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: OH 35.122011) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OH 35.122011) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2017-01-03 |