| NPI | 1245426329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: TX p0526) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A93086) |
| 208200000X Plastic Surgery (Licence: TX p0526) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CA A93086) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX p0526) | |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2022-07-21 |