| NPI | 1164603288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CO DR.0057325) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: AZ 42285) |
| 208200000X Plastic Surgery (Licence: CO DR.0057325) | |
| 2082S0105X Plastic Surgery Surgery of the Hand (Licence: CO DR.0057325) | |
| 208600000X Surgery (Licence: CO DR.0057325) | |
| 2086S0105X Surgery Surgery of the Hand (Licence: CO DR.0057325) | |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2024-10-07 |