| NPI | 1245276021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: UT 5575028-1205) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: UT 5575028-1205) |
| 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck (Licence: UT 5575028-1205) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-07-16 |