| NPI | 1225043961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD012995E) |
| Additional Taxonomies | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: PA MD012995E) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2015-10-21 |