| NPI | 1326426321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: UT 12803673-1205) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: UT 12803673-1205) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2022-10-20 |