NPI | 1194803452 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CO DR.0029767) |
Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CO 29767) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2018-11-30 |