| NPI | 1306944582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL me79669) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: FL ME79669) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-09-08 |