NPI | 1134189780 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: PA MD422092) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: PA MD422092) |
Enumeration Date | 2006-03-27 |
Last Update Date | 2020-10-06 |