| NPI | 1093880403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MI 4301087507) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MI 4301087507) |
| 208600000X Surgery (Licence: MI 4301087507) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2022-03-16 |