| NPI | 1205836491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OK 13913) |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: OK 13913) |
| 202C00000X Independent Medical Examiner (Licence: OK 13913) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: OK 13913) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2019-07-10 |