| NPI | 1083889398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CT 046169) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CT 046169) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: CT 046169) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2012-02-02 |