| NPI | 1326087206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: KS 04-48701) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: AZ 32551) |
| 208200000X Plastic Surgery (Licence: AZ 32551) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-03-04 |