| NPI | 1184812968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: SC 40622) |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: SC 40622) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: GA 064160) | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2022-09-21 |