| NPI | 1144391079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MA 76228) |
| Additional Taxonomies | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: MA 76228) |
| 2086S0105X Surgery Surgery of the Hand (Licence: MA 76228) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-02-11 |