NPI | 1114325123 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA F346) |
Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: CA F346) |
2086X0206X Surgery, Surgical Oncology (Licence: CA F346) | |
Enumeration Date | 2014-12-08 |
Last Update Date | 2015-03-30 |