| NPI | 1316173008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CO DR.0056852) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: CO DR.0056852) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2023-11-10 |