| NPI | 1184630873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: DE C10005896) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: PA MD021290E) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-12-21 |