| NPI | 1104869510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME 107954) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: IL 0361086341) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 0361086341) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2013-02-04 |