NPI | 1134217839 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: NC 94-00624) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: FL ME00623206) |
208200000X Plastic Surgery (Licence: NJ 25MA0510800) | |
2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NC 94-00624) | |
2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NC 94-60024) | |
Enumeration Date | 2006-10-10 |
Last Update Date | 2007-09-11 |