| NPI | 1326030255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301059970) |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: MI 4301059970) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MI 4301059970) | |
| 208600000X Surgery (Licence: MI 4301059970) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: MI 4301059970) | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2013-03-12 |