NPI | 1225061062 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MA 58586) |
Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MA 58586) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2008-01-08 |