NPI | 1306824123 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MD D0044742) |
Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: MD D0044742) |
Enumeration Date | 2006-01-03 |
Last Update Date | 2013-05-14 |