| NPI | 1194997015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 35.098976) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: FL ME 104736) |
| 207Y00000X Otolaryngology (Licence: FL ME 104736) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: OH 35098976) | |
| 208200000X Plastic Surgery (Licence: FL ME104736) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2023-12-26 |