| NPI | 1124446596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NE 33378) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: WI 64363-20) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: OR MD198866) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2021-07-20 |