NPI | 1134188659 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MA 206993) |
Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MA 206993) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2012-05-31 |