| NPI | 1285896977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AZ 49079) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 49079) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AZ 49079) | |
| 208600000X Surgery (Licence: MI 4301092551) | |
| 208600000X Surgery (Licence: AZ 49079) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AZ 49079) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2021-08-13 |