| NPI | 1154044634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WA MD61292880) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: WA MD61292880) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: OH 35.146046) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OH 35.146046) | |
| 208200000X Plastic Surgery (Licence: GA 91699) | |
| 208200000X Plastic Surgery (Licence: WA MD61292880) | |
| 208200000X Plastic Surgery (Licence: OH 35.146046) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: NY 317298) | |
| 208200000X Plastic Surgery (Licence: NY 317298) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: GA 91699) | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-11-08 |