| NPI | 1205944782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: OR MD) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OR MD28013) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OR MD28013) | |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2015-11-13 |