NPI | 1225034531 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MO R7J00) |
Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: KS 04-23214) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2012-06-04 |