| NPI | 1215370432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: GA 76039) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: GA 76039) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A160974) | |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2020-09-17 |