| NPI | 1124236476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OH 35096249) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME99369) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: MI 4301076007) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MI 4301076007) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: FL ME99369) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: KY 44012) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2011-11-02 |