NPI | 1215935218 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: WA MD00033630) |
Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WA MD00033630) |
Enumeration Date | 2005-07-13 |
Last Update Date | 2011-07-19 |